Actuvate Healthcare Llc

NPI 1144522210 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1144522210
Enumeration Date 11/23/2010
Last Updated 11/15/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DEBRA DEBRA
Position PRINCIPAL
Phone (312) 455-9200
Fax
Practice Location
6340 NORTH EWING ST
INDIANAPOLIS IN, 46220, US
Phone (312) 455-9200
Fax
Business Location
1419 W CHICAGO AVE
CHICAGO IL, 60642, US
Phone (312) 455-9200
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State Indiana
License Number 252Y00000X
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According to our database, Actuvate Healthcare Llc NPI is 1144522210, taxonomy code is 252Y00000X and license number is 252Y00000X, license state is located at Indiana. Actuvate Healthcare Llc physically located at 6340 North Ewing St, Indianapolis IN, 46220. NPI Number 1033115704 has the healthcare provider type.

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1144522210 NPI number is provided on an as is basis without warranty of any kind. 1144522210 is maintained by the National Plan & Provider Enumeration System. The contents of Actuvate Healthcare Llc are for informational purposes only.